nlwxpearo
Joined: 13 Dec 2010
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Location: England
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 Posted: Mon 22:25, 21 Mar 2011 Post subject: Elderly patients with pulmonary infection in 53 ca |
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Aged 53 cases of pulmonary infection
Measured blood oxygen , blood gas , blood pressure and drainage situation in sputum , maintaining airway, give oxygen hypoxia , poor drainage at any time if given the sputum suction, when there are indications for endotracheal intubation , close observation and timely treatment of complications Such as septic shock , heart failure, cardiac arrhythmias . 4.2.2 General treatment. Maintain the room air circulation,[link widoczny dla zalogowanych], preventing cross-infection , patients take regularly stand back , chest physiotherapy for mucus discharge , strengthening support for treatment. Given high-calorie , high protein , plasma ,[link widoczny dla zalogowanych], and the treatment of immune modulators . 4.2.3 anti-inflammatory, cough, phlegm and asthma treatment. In case of elderly patients with pulmonary infection , rapid progression , early treatment once diagnosed . The fundamental treatment of elderly patients with pulmonary infection for the timely and correct use of antibiotics ,[link widoczny dla zalogowanych], the general course of treatment for 1 to 2 weeks or body temperature, blood and sputum after the normal 5 ~ 7d withdrawal . Premature withdrawal ,[link widoczny dla zalogowanych], the infection is not cured recur ; antibiotic application time is too long, easy to produce drug resistance or superinfection , and some other liver and kidney damage. Phlegm, asthma agent help relieve bronchial spasm application of the discharge and sputum , but should avoid the application of potent antitussive agent , to prevent the inhibition of central cough , sputum is not an effective cough , resulting in airway obstruction . 4.2.4 Note that liver and kidney damage. Elderly patients in a variety of underlying diseases combined , in the case of pulmonary infection , underlying diseases easy to make heavier , stable and self- regulation is impaired, the condition is more complex , so need to apply a variety of drugs. In the application of multi-drug cases, should be more understanding of the interactions between drugs used to ensure the safety and effectiveness of drug treatment . Serum albumin elderly becoming less and less with increasing age , impaired renal function also will be more so after using the same amount of blood concentration of antimicrobial agents is higher than young adults , drug half-life also gradually extended,[link widoczny dla zalogowanych], so the application of toxic elderly The antibacterial drugs, such as aminoglycosides such as the amount should be small , and according to the degree of renal dysfunction, given adjustments ... I. .
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